Laparoscopic reduction of gastric volvulus: A case report and review of literature

Figure 1 Contrast-enhanced abdominal computed tomography. A: The coronal view, it shows elevation of the left side of the diaphragm, upward displacement and torsion of the gastric fundus, and displacement of the spleen towards the midline; B: The sagittal view, it shows gastric volvulus, with the body of the stomach rotating at the points where the lesser and greater curvatures meet.

Figure 2 Upper gastrointestinal barium meal before and after surgery. A: Preoperative: Widening of the upper mediastinal shadow; elevation of the left diaphragm; the stomach is predominantly arched; the fundus is displaced downwards; the body and antrum of the stomach are first displaced upwards and then rotate anti-clockwise to the right; B: Postoperative: Elevation of the left diaphragm; the fundus is displaced more upwards than before; the antrum of the stomach has returned to its normal anatomical position.

Figure 3 Intraoperative exploration. A: During the operation, elevation of the left diaphragm was observed; the body of the stomach first twisted from bottom to top, then rotated anti-clockwise towards the lower right. The green arrow indicates the elevation of the left diaphragm; B: During the operation, the greater curvature of the stomach was sutured to the transverse colon, and the anterior wall of the pyloric antrum, near the pylorus, was sutured to the falciform ligament of the liver.